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JENNIFER MARIE CLARK BA
NPI 1043729288
Case Manager/Care Coordinator in Orange Park, FL

Active since September 20, 2017
2864 MOODY AVE, ORANGE PARK, FL 32073(904) 765-0665 Get Directions Write a Review

NPPES record last updated: September 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Marie Clark Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MARIE CLARK BA (NPI 1043729288) is an individual case manager/care coordinator provider in Orange Park, Florida and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1043729288
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameJENNIFER MARIE CLARKCredential: BA
Location Address2864 MOODY AVEOrange Park, FL 32073-6423
Mailing Address2864 Moody AveOrange Park, FL 32073-6423 · (904) 765-0665
Phone(904) 765-0665
Sole ProprietorNo
Enumeration DateSeptember 20, 2017
✔ NPI 1043729288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2864 MOODY AVE, Orange Park, FL 32073
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE DAVIS
Counselor (Mental Health)
2864 MOODY AVE
ORANGE PARK, FL 32073
Clay County (352) 478-8273
MYIAH JOHNSON
Counselor (Mental Health)
2864 MOODY AVE
ORANGE PARK, FL 32073
Clay County (352) 478-8395
CHARLOTTE GOODSON BA
Counselor (Mental Health)
2864 MOODY AVE
ORANGE PARK, FL 32073
Clay County (904) 765-0665
ERICA ANN JUSTAVINO MSW
Social Worker (Clinical)
2864 MOODY AVE
ORANGE PARK, FL 32073
Clay County (352) 478-8395
CAROL BERNARD BS
Counselor
2864 MOODY AVE
ORANGE PARK, FL 32073
Clay County (904) 765-0665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Clark's NPI number?

The NPI number for Jennifer Clark is 1043729288. It was assigned to this individual provider in the NPPES registry on September 20, 2017.

Where is Jennifer Clark located?

Jennifer Clark practices at 2864 Moody Ave, Orange Park, FL 32073. The listed phone number is (904) 765-0665.

What is Jennifer Clark's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on September 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.